| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $570.54 | $570.54 | $570.54 | |
HMSA
| Professional | $610.48 | $610.48 | $610.48 | |
United
| Professional | $604.54 | $645.89 | $968.84 | |
University Health Alliance
| Professional | $476.17 | $476.17 | $476.17 |